Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Fractures of the trochanteric region are some of the most common fractures encountered by an orthopaedic surgeon. The Dynamic hip screw (DHS) may result in cut‐out, risk of instability and delayed weight bearing. Different types of arthroplasty such as the Leinbach and bipolar hip arthroplaties were then used. Hence; the present study was undertaken for comparatively evaluating efficacy of internal fixation using dynamic hip screw (DHS) and primary hemiarthroplasty in unstable trochanteric fractures. A total of 60 patients with unstable trochanteric fractures were analyzed and broadly divided into two study groups with 30 patients in each group as follows: DHS group: Patients treated with Dynamic hip screw and PHA group: Patients treated with primary hemiarthroplasty. All the patients underwent treatment according to their respective groups. Pre‐operative and post‐operative follow‐up radiographs were analyzed. Harris hip score (HHS) was analyzed at follow‐ups. Incidence of complications was analyzed and compared. Mean HHS among the patients of DHS group and PHA group on final follow‐up was found to be 76.13 and 90.69 respectively. While comparing the mean HHS among the patients of the two study groups, significant results were obtained. Three cases of non‐union and two cases of delayed union were encountered in the DHS group while none of the patients of the PHA group exhibited non‐union or delayed union. Incidence of complication was significantly higher in the DHS group. In patients undergoing treatment for unstable trochanteric fractures, better outcome with lesser complications are associated with primary hemiarthroplasty in comparison to dynamic hip screw.
How to cite this article:
Ravi Ranjan Singh, Abhishek and Bharat Singh. Comparative Evaluation of Internal Fixation Using Dynamic hip Screw (DHS) and Primary Hemiarthroplasty in Unstable Trochanteric Fractures.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.194.197
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.194.197